Pancho - ALV-MAR-68

Code: ALV-MAR-68
Mercy ID: V-03145-01
Encounter Date: 08/25/2009
Last: Alvarez
First: Marta
DOB: 11/24/1968
County: Dekalb
Street: 6750 Peachtree Ind. Blvd. # 702
City: Doraville
State: GA

Zip

30360-

Cell

(404) 552-2150

Family Status

Two parent family w/children

COB

El Salvador

Gender

Female

Housing

Doubling Up

Education Level

Preschool

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	N/A	N/A	N/A
Father	N/A	N/A	N/A
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: N/A
Name of School: N/A
Grade: N/A
Who Can't Pickup the Child
Authoritation Parent: No
Authoritation Child: No
DOY PERMISO: No
Limitado Educativo: No
Limitado Impresos: No
Limitado Caminar Latino: No

Intake: G. Landeros
Data Entry: J. Manzo